2022 IRMAA Brackets for Medicare Premiums (2023 Update Available)

The Medicare Part B and Part D Income-Related Monthly Adjusted Amount (IRMAA) charged to higher income earners changed in 2022. Learn how some Medicare beneficiaries may pay lower surcharges over time due to the change.

For updated information on 2023 Medicare IRMAA costs, visit our updated article. For 2022 information, continue reading below.

It’s not uncommon for Medicare premiums to increase every year. For some higher-earning Medicare Part B and Part D beneficiaries, a Medicare Income-Related Monthly Adjust Amounts (IRMAA) could change to how much they pay for their Part B and/or Part D premiums.

Since 2020, the surcharge that is tacked onto Part B and Part D premiums for higher income earners is indexed to the Bureau of Labor Statistics' Consumer Price Index for Urban Consumers (CPI-U). IRMAA brackets weren't previously indexed in this way.

The change reduced the number of beneficiaries who are subject to this extra charge for Medicare premiums, but many people still have to pay it.

What is an IRMAA for Medicare?

Most Medicare beneficiaries pay the standard Part B premium. Beneficiaries who have a Part D plan typically pay a monthly premium for their drug coverage.

  • The standard premium for Medicare Part B in 2022 is $170.10 per month.

  • Part D premiums are sold by private insurers so there is no “standard” premium. The average premium for a standalone Part D prescription drug plan in 2022 is $40 per month.1

But beneficiaries with higher reported incomes may pay an additional fee on top of their Part B and/or Part D premium. This is known as the Income-Related Monthly Adjusted Amount, or IRMAA.

The income that makes a beneficiary subject to the IRMAA is based on the modified adjusted gross income reported on their taxes from two years prior.

For example, beneficiaries who pay the IRMAA added to their Medicare premiums in 2022 are doing so based on the income they reported on their 2020 tax returns.

The chart below shows how IRMAA amounts for Medicare Part B and Part D premiums in 2022.

Medicare Part B & Part D IRMAA
2020 Individual tax return 2020 Joint tax return 2020 Married and separate tax return 2022 Part B premium 2022 Part D premium

$91,000 or less

$182,000 or less

$91,000 or less


Your plan premium

More than $91,000 and up to $114,000

More than $182,000 and up to $228,000



You plan premium + $12.40

More than $114,000 up to $142,000

More than $228,000 up to $284,000



Your plan premium + $32.10

More than $142,000 up to $170,000

More than $284,000 up to $340,000



Your plan premium + $51.70

More than $170,000 up to $500,000

More than $340,000 up to $750,000

More than $91,000 up to $409,000


Your plan premium + $71.30

More than $500,000

More than $750,000

More than $409,000


Your plan premium + $77.90

What does this mean for Medicare beneficiaries?

Indexing IRMAA’s income brackets according to the CPI-U increased the minimum income amount for each bracket. 

What kind of effect did that have on beneficiaries and the Medicare program itself?

  • Because the income required for each tax bracket is increased, fewer people entered into the first IRMAA bracket. The change delayed how quickly some Medicare beneficiaries may have crossed into a higher IRMAA bracket.

  • If fewer people are paying the IRMAA for their Part B premiums – or if they are paying a lower rate than they would have otherwise – Medicare’s trust fund will receive less funding from IRMAA payments.

Learn more about Medicare coverage options

Call to speak with a licensed insurance agent today. An agent can help you compare Medicare Advantage (Part C) plans that are available where you live.  

Medicare Advantage plans replace Medicare Part A and Part B and combine their benefits into one plan. Many Medicare Advantage plans also include prescription drug coverage.

Learn more about Medicare Advantage plans in your area and find a plan that fits your coverage needs and your budget.

Find a $0 premium Medicare Advantage plan today.

Speak with a licensed insurance agent



About the author

Christian Worstell is a senior Medicare and health insurance writer with He is also a licensed health insurance agent. Christian is well-known in the insurance industry for the thousands of educational articles he’s written, helping Americans better understand their health insurance and Medicare coverage.

Christian’s work as a Medicare expert has appeared in several top-tier and trade news outlets including Forbes, MarketWatch, WebMD and Yahoo! Finance.

Christian has written hundreds of articles for that teach Medicare beneficiaries the best practices for navigating Medicare. His articles are read by thousands of older Americans each month. By better understanding their health care coverage, readers may hopefully learn how to limit their out-of-pocket Medicare spending and access quality medical care.

Christian’s passion for his role stems from his desire to make a difference in the senior community. He strongly believes that the more beneficiaries know about their Medicare coverage, the better their overall health and wellness is as a result.

A current resident of Raleigh, Christian is a graduate of Shippensburg University with a bachelor’s degree in journalism.

If you’re a member of the media looking to connect with Christian, please don’t hesitate to email our public relations team at

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